关键词: 社区医院, 卫生设施, 服务能力, 能力建设, 卫生政策, 卫生保健改革, 社区卫生服务

Abstract: Background　Carrying out the pilot work of Community hospital construction is a powerful process to improve the capacity of primary health care services，also a major measure to promote the construction of the hierarchical medical system. In 2019，the National Health Commission started pilot work of community hospital construction in 20 provinces. Objective　To monitor the progress and effectiveness of the pilot work to provide data support and policy recommendation for promoting the Community hospital construction. Methods　The data were obtained from the questionnaire survey of 608 community hospitals in 20 pilot provinces in December 2019. The work progress was reflected by quantitative analysis of the indicators，such as the business room area of community hospitals，the actual number of open beds，The bed utilization ratio department settings，service quality，etc. Results　By October 2019，community hospitals with a business building area of more than 3 000 square meters accounted for 97.4%（592/608） of the total. Community hospitals with more than 30 open beds accounted for 98.2%（597/608），and the utilization ratio of beds reached 79.1%，the community hospitals with clinical departments more than 5 accounted for 91.0%（553/608）. Compared to the same period in 2018，The average building area of each community hospital business building（6 275 square meters） increased by 368 square meters，the actual number of open beds（91） increased by 5 beds，the utilization ratio of bed held the line. The clinical business department of new increased by 0.64. The number of outpatients and emergency visits（92 500 person-times），the number of hospital admissions（2 616 persons），and the number of outpatient and emergency visits of pediatric（10 800 person-times） increased by 8.2%，5.6% and 15.2% year-on-year respectively. Conclusion　The pilot work of community hospital construction has achieved significant results，but there are still some problems such as unbalanced construction in different pilot provinces，a few community construction has not yet up to standard，service quality needing to be improved and incomplete supporting policies. We should continue to strengthen the infrastructure construction，improve the service capabilities and relevant policies of the community hospital construction.

Key words: Community hospital, Health facilities, Service capacity, Capacity building, Health policy, Health care reform, Community health services